Exploring the role of Community Health Workers in Maternal and Child Sexual and Reproductive Health and Rights in Central and South America

我的研究旨在回答巴西和哥伦比亚的收容社区和流离失所社区如何围绕性健康和生殖健康权利(SRHR)进行互动。我将专门研究那些受生殖健康指标影响不成比例的人群，例如流离失所的和/或土著妇女。我的项目的关键目标是确定阻止女性实现其SRHR的最紧迫的问题。研究的目的是强调当地妇女和社区卫生工作者(CHW)确定的阻碍CHW积极接触被边缘化人口的障碍。这将导致对涉及社区卫生工作者的健康计划和培训提出改进建议，使他们能够成为更具变革性的变革推动者。这项研究将有助于向卫生从业者和政策制定者提供关于如何履行SRHR并改善边缘群体生殖健康的知识。我打算检查东道国和接受国社区的社区卫生工作者目前处理这些差异的程度；确定被边缘化人口的关键需求和需求，并创建一个框架，使社区卫生工作者最大限度地发挥其作为变革推动者的能力。因此，我将调查的次要问题包括：a)巴西和哥伦比亚的国家行为者如何履行其保障性健康和生殖健康权利的义务？b)妇女在获得现有服务方面面临哪些障碍？c)妇幼保健机构如何更好地履行被边缘化妇女的SRHR？d)如何改进这些服务，使其包括被边缘化的群体？

My research aims to answer how host and displaced communities in Brazil and Colombia interact aroundSexual and Reproductive Health Rights (SRHR).I would specifically examine populations who are disproportionately affected by indicators ofreproductive health, such as displaced and/or indigenous women.The key aim of my project would be to determine the most pressing issues that prevent women fromrealising their SRHR. Research would aim to highlight barriers identified by local women and CommunityHealth Workers (CHW) that prevent CHWs positive engaging with marginalised populations. This wouldlead to suggesting improvements to health programmes and training involving CHWs, enabling them tobecome more transformative agents of change. The research would contribute to knowledge to informhealth practitioners and policymakers how to fulfil SRHR and improve reproductive health in marginalgroups.I intend to examine the extent to which CHWs in host and receiving communities currently manage thesedifferences; identify key wants and needs in marginalised populations and create a framework that wouldenable CHWs to maximise their capabilities as agents of change. Therefore, sub-questions I will beinvestigating include:a) How are state actors in Brazil and Colombia fulfilling their obligations to secure sexual andreproductive health rights?b) What are the barriers women face in accessing existing services?c) How can CHWs better fulfil the SRHR of marginalised women?d) How can these services be improved to include marginalised groups?